Mt Sinai Hospital Reports . diastolic in time, we may have an impulsewhich is systolic. In other words, just as the apex projects againstthe anterior chest during systole, in spite of the contraction of theheart area, so an impulse from the twisting of the heart may becarried along and felt at the chest surface. Reviewing the character-istics of our ease, we would do so as follows: A case of tuberculosis, complicated by empyema. This empyemaaccompanied by both a general and a localized pulsation, the latterforming a distinct tumor about three inches in diameter. A secondarypulsation on right s
Mt Sinai Hospital Reports . diastolic in time, we may have an impulsewhich is systolic. In other words, just as the apex projects againstthe anterior chest during systole, in spite of the contraction of theheart area, so an impulse from the twisting of the heart may becarried along and felt at the chest surface. Reviewing the character-istics of our ease, we would do so as follows: A case of tuberculosis, complicated by empyema. This empyemaaccompanied by both a general and a localized pulsation, the latterforming a distinct tumor about three inches in diameter. A secondarypulsation on right side and epigastrium due directly to the heartaction. A displaced heart. A pneumothorax which developed whilethe patient was under observation, and after all the various signsof pulsation were in existence, due to rupture of the empyema througha bronchus. Pulsation not influenced by aspiration. Signs of peri-cardial adhesion. The case is characteristic in all respects, andit is to be regretted that autopsy was not CASE OF PULSATING EMPYEMA STATISTICAL REPORT CHILDRENS SERVICE, 1905. ATTENDING PHYSICIAN, Henry Koplik, ADJUNCT ATTENDING PHYSICIAN, Henry Heiman, Specific Infectious Diseases. Diphtheria (bacteriological) Post scarlatinal, pneumonia and nephritis Dysentery (Shiga) Malaria Measles with empyema sinus Meningitis (cerebro-spinal) with double sciatic neuritis (cerebro-spinal with permanent deaf-ness) (cerebro-spinal with diphtheria) .... ( varicella) (streptococcic) (septic) (tuberculous) Multiple pyocyaneous abscesses Paratyphoid with pyelitis Parotitis, infectious Rheumatism, acute articular Tonsillitis Typhoid fever, uncomplicated with mastoiditis myocarditis pertussis Syphilitic osteomyelitis Rheumatism, acute articular (with endocarditis) Respiratory System. Male Female 10 li 2 12 1111 24 24 IS 18 Bronchiectasis ..Bronchitis, acuteEmpyema MOUNT SINAI HOSPITAL REPORTS. Respirator) System—(Continued). Empyema double , with double mastoiditis ..
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